JENNIFER RENEA ELLIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****37

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

RENEA

Last Name

ELLIS

Business Name

JENNIFER RENEA ELLIS

Original Issue Date

03/21/2001

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

SKOKIE

State

Zip

60077

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/31/2025